NUR 565
1. Which schedule drugs can APRNs prescribe?
Answer
Schedule II through Schedule IV
2. Two components of prescriptive authority
Answer
(1) the right to prescribe indepen- dently
(2) the right to prescribe without limitation.
3. Who determines prescriptive authority?
Answer
Prescriptive authority is determined by state law
4. Barriers created by limited prescriptive authority
Answer
increase patient waiting time
limited access to care increases cost
doesn't help to address the provider shortage
5. key responsibilities of prescribing
Answer
,a sound understanding of drugs and the conditions that they are used to manage
6. What should be used to make prescribing decisions?
Answer
cost current guidelines
interactions side effects allergies
hepatic and renal function need for monitoring special populations
7. What is needed on a prescription
Answer
Prescriber name, license number, and contact information
• Prescriber U.S. Drug Enforcement Administration (DEA) number, if applicable
• Patient name and date of birth
• Patient allergies
• Name of medication
• Indication of medication (e.g., atenolol for hypertension)
• Medication strength (e.g., 25 mg, 500 mg/mL)
• Dose of medication and frequency (e.g., 12.5 mg once daily)
• Number of tablets or capsules to dispense
• Number of refills
8. Pharmokinetic changes in older adults
Answer
absorption
Answer
Increased gastric pH Decreased absorptive surface area
, Decreased splanchnic blood flow Decreased gastrointestinal motility Delayed gastric emptying
9. Pharmokinetic changes in older adults
Answer
distribution
Answer
Increased body fat Decreased lean body mass
Decreased total body water Decreased serum albumin Decreased cardiac output
10. Pharmokinetic changes in older adults
Answer
metabolism
Answer
Decreased hepatic blood flow
Decreased hepatic mass
Decreased activity of hepatic enzymes
11. Pharmokinetic changes in older adults
Answer
excretion
Answer
Decreased renal blood flow
1. Which schedule drugs can APRNs prescribe?
Answer
Schedule II through Schedule IV
2. Two components of prescriptive authority
Answer
(1) the right to prescribe indepen- dently
(2) the right to prescribe without limitation.
3. Who determines prescriptive authority?
Answer
Prescriptive authority is determined by state law
4. Barriers created by limited prescriptive authority
Answer
increase patient waiting time
limited access to care increases cost
doesn't help to address the provider shortage
5. key responsibilities of prescribing
Answer
,a sound understanding of drugs and the conditions that they are used to manage
6. What should be used to make prescribing decisions?
Answer
cost current guidelines
interactions side effects allergies
hepatic and renal function need for monitoring special populations
7. What is needed on a prescription
Answer
Prescriber name, license number, and contact information
• Prescriber U.S. Drug Enforcement Administration (DEA) number, if applicable
• Patient name and date of birth
• Patient allergies
• Name of medication
• Indication of medication (e.g., atenolol for hypertension)
• Medication strength (e.g., 25 mg, 500 mg/mL)
• Dose of medication and frequency (e.g., 12.5 mg once daily)
• Number of tablets or capsules to dispense
• Number of refills
8. Pharmokinetic changes in older adults
Answer
absorption
Answer
Increased gastric pH Decreased absorptive surface area
, Decreased splanchnic blood flow Decreased gastrointestinal motility Delayed gastric emptying
9. Pharmokinetic changes in older adults
Answer
distribution
Answer
Increased body fat Decreased lean body mass
Decreased total body water Decreased serum albumin Decreased cardiac output
10. Pharmokinetic changes in older adults
Answer
metabolism
Answer
Decreased hepatic blood flow
Decreased hepatic mass
Decreased activity of hepatic enzymes
11. Pharmokinetic changes in older adults
Answer
excretion
Answer
Decreased renal blood flow
